Fillers or time for Mono Facelift/necklift? (Photo)

Hello; From what I can see with your photos; you are between 40-50 years old. Again, as far as I can see; tear through area is sunken, anterior face is down, jowl is prominent, marionette line is prominent and prejowl is sunken. Your chin; looks short, there is looseness in your neck and platysmal bands that have formed; under your chin. Nevertheless, malar area and zygomatic arch; are overfilled with fillers. Filling implementation is definitely not suitable for you. Pronounced Jowl and Marionette Lines have formed. Therefore, Mini Facelift; will not be sufficient. With Mini Facelift; neither jowl nor marionette line, nor tear through area; nor medial cheek area is effected. My advice for you is; Temporal Lift for your midface, dual plane facelift for your cheeks, necklift for neck and under the chin fields. In the meantime, lower and upper blephatoplasty can also be applied.

You would do great with a lower face/neck lift under local with a little iv sedation. Cost is roughly $15,000 for quality work and so worth it.

You are a candidate for a facelift. This will tighten the skin envelope and redefine the jawline. You may also benefit from a lip lift because the distance between your nose and upper lip is too great. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.